| Entity Name: | SOUTHWEST FLORIDA TREATMENT CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 25 Oct 2024 (3 months ago) |
| Document Number: | L24000454009 |
| Address: | 600 96TH AVE N, NAPLES, FL, 34108, US |
| Mail Address: | 600 96TH AVE N, NAPLES, FL, 34108, US |
| ZIP code: | 34108 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386466522 | 2024-10-29 | 2024-10-29 | 600 96TH AVE N, NAPLES, FL, 341082463, US | 600 96TH AVE N, NAPLES, FL, 341082463, US | |||||||||||||||||||||
|
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| Phone | +1 703-862-2131 |
Authorized person
| Name | ANGEL ROUBIN |
| Role | OWNER/PSYCHOLOGIST |
| Phone | 7038622131 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | No |
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| Is Primary | Yes |
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| ROUBIN ANGEL | Agent | 600 96TH AVE N, NAPLES, FL, 34108 |
| Name | Role | Address |
|---|---|---|
| ROUBIN ANGEL | Manager | 600 96TH AVE N, NAPLES, FL, 34108 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-10-25 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
